Healthcare Provider Details

I. General information

NPI: 1063446078
Provider Name (Legal Business Name): TOUCHSTONE IMAGING OF BOWIE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3327 SUPERIOR LN STE 103
BOWIE MD
20715-1922
US

IV. Provider business mailing address

5214 MARYLAND WAY STE 200
BRENTWOOD TN
37027-5034
US

V. Phone/Fax

Practice location:
  • Phone: 301-262-2202
  • Fax: 303-355-7865
Mailing address:
  • Phone: 615-661-9200
  • Fax: 615-661-9297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTIAN C RICE JR.
Title or Position: CHIEF MANAGER
Credential:
Phone: 615-661-9200